1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Counselor
  6. NPI Profile

KAILA FORMANEK LGSW
NPI 1982313730
Counselor - Mental Health in Minneapolis, MN

Active since November 21, 2022
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaila Formanek Lgsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILA FORMANEK LGSW (NPI 1982313730) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1982313730
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAILA FORMANEKCredential: LGSW
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing Address410 Church St SeMinneapolis, MN 55455-0222 · (612) 625-8400
Phone(612) 625-8400
Sole ProprietorNo
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1982313730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
410 CHURCH ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Identifiers 1

Medicaid1013137355MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE GRADY PA & NP
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2612
RICHARD JON FEIST MD
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JEREMY ADAM GOLDBERG LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1444
DR. SABA GHAZIMOGHADAM PH.D.
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JOY L JOHNSON-LIND LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
MARY KATHERINE UTZ LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9194
MARILYN SUSAN JOSEPH MD
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaila Formanek's NPI number?

The NPI number for Kaila Formanek is 1982313730. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Kaila Formanek located?

Kaila Formanek practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.

What is Kaila Formanek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kaila Formanek was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.